Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,021.03 / $1,649.71 / $2,699.97	Professional		$1,021.03	$1,649.71	$2,699.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,545.98 / $1,892.48 / $2,112.84	Professional		$1,545.98	$1,892.48	$2,112.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,331.03 / $1,968.02 / $2,861.97	Facility		$1,331.03	$1,968.02	$2,861.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,817.84 / $1,928.01 / $2,203.44	Professional		$1,817.84	$1,928.01	$2,203.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $1,930.54	Professional		$30.00	$78.00	$1,930.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,060.76 / $2,258.77 / $2,281.46	Professional		$2,060.76	$2,258.77	$2,281.46
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $15,298.00 / $26,104.00	Facility		$3,700.00	$15,298.00	$26,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.85 / $1,573.67 / $2,497.34	Professional		$1,114.85	$1,573.67	$2,497.34